https://doi.org/10.1007/s40368-018-0328-x PubMedCrossRef, https://doi.org/10.1007/s40368-018-0328-x, Zurück zum Zitat Camilleri J, Laurent P, About I (2014) Hydration of Biodentine, Theracal LC, and a prototype tricalcium silicate-based dentin replacement material after pulp capping in entire tooth cultures. Since maintaining pulpal health is paramount when saving a tooth, your dentist may use a pulp cap to kill bacteria in the area, and stimulate the tooth to lay down more dentin just above the pulpal chamber. There are two types of pulpal caps … Cochrane Database Syst Rev:CD003808. https://doi.org/10.1007/s00784-007-0152-x PubMedCrossRef, https://doi.org/10.1007/s00784-007-0152-x, Zurück zum Zitat Modena KC, Casas-Apayco LC, Atta MT, Costa CA, Hebling J, Sipert CR, Navarro MF, Santos CF (2009) Cytotoxicity and biocompatibility of direct and indirect pulp capping materials. Indirect pulp capping and primary teeth: Is the primary tooth . https://doi.org/10.1016/j.joen.2010.06.006 PubMedCrossRef, https://doi.org/10.1016/j.joen.2010.06.006, Zurück zum Zitat Schwendicke F (2017) Contemporary concepts in carious tissue removal: a review. Depending on the proximity to the dental pulp or nerve, there are two pulp-capping procedure types: 1) direct pulp-capping – dressing is placed directly on the tooth pulp, and 2) indirect pulp-capping –dressing is placed on top of the dentin. https://doi.org/10.1177/0022034516639276 PubMedCrossRef, https://doi.org/10.1177/0022034516639276, Zurück zum Zitat Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L (2017) Primary tooth vital pulp therapy: a systematic review and meta-analysis. Author information. Methods and analysis A randomised clinical trial, double-blinded, parallel-group and allocation concealment will be conducted with the enrolment of 384 patients from 5 to 9 years, with one maxillary/mandibular first/second primary molars with deep … (2) Is there a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy? DIRECT PULP CAPPING. This choice is indirect pulp therapy (IPT), because the direct pulp cap in a primary tooth is contraindicated for carious exposures . Direct pulp-capping with calcium enriched mixture in primary molar teeth: a randomized clinical trial. Resin-free calcium silicate-based materials appear to be more favorable in the indirect pulp treatment of primary teeth, particularly in young-age groups that require long-term success. Hence, some infected dentine near the pulp is left intact, and a thin layer of calcium hydroxide (CaOH) is placed over the area near to the pulp, and a temporary restoration given, as described in the steps below. Indirect pulp capping was taught or practiced by a mean of 77% of participants (min-max 53-95%) and calcium hydroxide was the most-used medicament (71%). Am J Dent 20:189 PubMed, Zurück zum Zitat Menon NP, Varma BR, Janardhanan S, Kumaran P, Xavier AM, Govinda BS (2016) Clinical and radiographic comparison of indirect pulp treatment using light-cured calcium silicate and mineral trioxide aggregate in primary molars: a randomized clinical trial. https://doi.org/10.1111/j.1875-595X.2011.00084.x PubMedCrossRef, https://doi.org/10.1111/j.1875-595X.2011.00084.x, Zurück zum Zitat Maltz M, de Oliveira EF, Fontanella V, Bianchi R (2002) A clinical, microbiologic, and radiographic study of deep caries lesions after incomplete caries removal. 2-4). 230-236(7), Publisher: American Academy of Pediatric Dentistry, Keywords: This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation). An indirect pulp cap procedure is used when bacterial decay has reached near to the pulpal chamber, causing inflammation and threatening the survival of the tooth. 9. Key words: direct pulp capping, primary teeth, re- versible pulpitis, vital methods Direct pulp capping is a method of treatment of in- flammation diseases of the pulp in their reversible stage. Am J Dent. A direct pulp cap is done on permanent teeth when the removal of deep decay results in exposing the pulp. J Biol Chem 276:7614–7620. Often this is recommended for primary, or baby, teeth. Pediatr Dent 39:146–159, Zurück zum Zitat Oliveira EF, Carminatti G, Fontanella V, Maltz M (2006) The monitoring of deep caries lesions after incomplete dentine caries removal: results after 14-18 months. Am J Dent 26:196–200 PubMed, Zurück zum Zitat Trairatvorakul C, Sastararuji T (2014) Indirect pulp treatment vs antibiotic sterilization of deep caries in mandibular primary molars. Technique • Pain control and isolation. https://doi.org/10.1111/jerd.12338 PubMedCrossRef, Zurück zum Zitat Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE (2013) Operative caries management in adults and children. Direct Pulp Caps. Methods The following electronic databases were searched: PubMed, Embase, Cochrane Library, Dentistry and … Direst pulp capping (DPC) has been literally abolished from the repertoire of endodontic procedures for primary teeth. The teeth were randomly divided into two groups, according to the material used for protection of the dentin-pulp complex. Teeth were divided into three groups according to the materials used for pulp capping. Dent Mater 35:24–35. 10. Before exposure and irreversible involvement of the pulp, indirect pulp capping (IPC) is the treatment of choice, but after the spread of inflammation within the pulp chamber and establishment of irreversible pulpitis, removal of inflamed pulp tissue is recommended. In: Casamassimo PS, Fields HW Jr, McTigue DJ, Nowak AJ (eds) Pediatric dentistry: infancy through adolescence, 5th edn. DM Dalpian, L Casagrande, R Franzon, GMC Dutra and FB Araujo. There are two main types of pulp caps: indirect pulp caps and direct pulp caps. edn. more… Procedure for "stepwise" indirect pulp cap. … primary teeth. The teeth were divided into three groups according to the pulp-capping agents: (I) hard-setting calcium hydroxide (Dycal) (control group) (, At the end of the 24-month follow-up period, the clinical and radiographic success rates for Dycal, Biodentine, and TheraCal LC were 100%, 100%, and 93.3%, respectively, and there was no significant difference among the groups (. With one-stage indirect pulp capping techniques typically all or most of the caries is removed at the initial appointment, some type of indirect pulp capping material is placed in close approximation to but not in direct contact with the pulp, and the final restoration is placed, all in the same appointment. https://doi.org/10.1016/j.joen.2014.08.010 PubMedCrossRef, https://doi.org/10.1016/j.joen.2014.08.010, Zurück zum Zitat Ricucci D, Loghin S, Niu LN, Tay FR (2018) Changes in the radicular pulp-dentine complex in healthy intact teeth and in response to deep caries or restorations: a histological and histobacteriological study. This will prevent the decay from spreading and help with restoration. The study included a total of 109 patients aged 5–9 years who had primary teeth with deep carious lesions and symptoms of reversible pulpitis. Siriporn Songsiripradubboon, Wijit Banlunara, Polkit Sangvanich, Chutima Trairatvorakul, Pasutha Thunyakitpisal, Clinical, radiographic, and histologic analysis of the effects of acemannan used in direct pulp capping of human primary teeth: short-term outcomes, Odontology, 10.1007/s10266-015-0215-4, 104, 3, (329-337), (2015). INDIRECT PULP THERAPY; c) ensuring the continuity of normal apexogenesis in immature permanent teeth. 18-month results. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. Contraindications: Same as for primary teeth except for the information regarding root resorption. • deep carious lesions where caries excavation was conservative and direct pulp exposures were avoided • either Ca (OH)2 or zinc oxide–eugenol (ZOE) in a one- or two-stage procedure. Indirect pulp capping in the primary dentition: a four year follow-up study. • Preoperative radiograph confirms the absence of radicular pathology . Primary molars were restored with the compomer material, and permanent molars were restored with the resin composite material. *. https://doi.org/10.1007/s00784-014-1296-0 PubMedCrossRef, https://doi.org/10.1007/s00784-014-1296-0, Zurück zum Zitat Farooq NS, Coll JA, Kuwabara A, Shelton P (2000) Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. The length of these procedures will vary based on the extent of tooth decay. Pulp caps are utilized in one of two ways: a direct pulp cap or an indirect pulp cap. Indirect pulp caps are usually used on children’s teeth when removal of … 15. Pulpitis, in … [1, 2, 3, 4]. Thirty six primary molar teeth with deep caries lesion were selected to apply indirect pulp therapy with calcium hydroxide. In the selection of a specific vital pulp treatment, it is important to consider the remaining tooth structure and future restorative plan. Seltzer and Benders Dental Pulp Carol Stream: Quintessence:227–45, Zurück zum Zitat Giraud T, Jeanneau C, Bergmann M, Laurent P, About I (2018) Tricalcium silicate capping materials modulate pulp healing and inflammatory activity in vitro. No Reference information available - sign in for access. To summarize the clinical/radiographic outcomes from the evidence of studies published since 1988 on different DPC agents applied on vital pulp–exposed primary teeth. Indirect pulp capping exhibited high clinical and radiographic success rates in the treatment of primary teeth regardless of the chosen pulp-capping agent. Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. J Endod. When practitioners in a dental PBRN were given a hypothetical scenario that involved this question, only 17% responded that they would stop, leave the remaining caries in place and restore the tooth.32 This procedure, where caries is allowed to remain adjacent to a vital pulp rather than risk pulp exposure, covered with a cavity sealer or liner and restored, is termed an indirect pulp cap. J Dent Res 92:306–314. and P.S.S.) https://doi.org/10.1111/j.1365-2591.2012.02013.x PubMedCrossRef, https://doi.org/10.1111/j.1365-2591.2012.02013.x, Zurück zum Zitat Falster CA, Araujo FB, Straffon LH, Nor JE (2002) Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs calcium hydroxide for protection of the dentin-pulp complex. Quintessence Int 33:151–9, Zurück zum Zitat American Academy on Pediatric D and American Academy of P (2017) Use of vital pulp therapies in primary teeth with deep caries lesions. J Dent Res 95:906–912. This is a complex procedure requiring a specialist and is rarely used in routine … Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. 8 The pulp is judged by clinical and radiographic criteria to be vital and able to heal from the carious insult. 3. Formocresol pulpotomy (FP) in the United States is most frequently used to treat asymptomatic caries near the pulp in primary teeth. Contemp Clin Dent 7:475–480. Pinto AS, de Araujo FB, Franzon R, Figueiredo MC, Henz S, Garcia-Godoy F, Maltz M. Clinical and microbiological effect of calcium hydroxide protection in indirect pulp capping in primary teeth. J Dent Child (Chic) 76:117–122, Zurück zum Zitat Tuculina MJ, Raescu M, Dascalu IT, Popescu M, Andreescu CF, Daguci C, Cumpata CN, Nimigean VR, Banita IM (2013) Indirect pulp capping in young patients: immunohistological study of pulp-dentin complex. Purpose: Evaluate clinical and radiographic changes in primary teeth submitted to indirect pulp capping (IPC) over a 48-month-period. Sie können e.Med Interdisziplinär 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Pediatr Dent 22:278–286 PubMed, Zurück zum Zitat Coll JA (2008) Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Teeth that have a history of trauma or previous restorations or that display pulpal calcification have a poorer prognosis than teeth showing only initial caries. https://doi.org/10.1016/j.dental.2018.09.008 PubMedCrossRef, https://doi.org/10.1016/j.dental.2018.09.008, Zurück zum Zitat Casagrande L, Falster CA, Di Hipolito V, De Goes MF, Straffon LH, Nor JE, de Araujo FB (2009) Effect of adhesive restorations over incomplete dentin caries removal: 5-year follow-up study in primary teeth. Mit e.Dent erhalten Sie Zugang zu allen zahnmedizinischen Fortbildungen und unseren zahnmedizinischen und ausgesuchten medizinischen Zeitschriften. Pulpectomy: removal of all coronal and radicular pulp. Indirect pulp therapy (IPT) is also indicated and has a significantly higher long-term success. J Clin Pediatr Dent 33:131–135 PubMedCrossRef, Zurück zum Zitat Fernandes JM, Massoni AC, Ferreira JM, Menezes VA (2013) Use of calcium hydroxide in deep cavities of primary teeth. Eur Arch Paediatr Dent 17:413–417. Two reviewers (D.P. 2-4). 2008;30(3):230-6. https://doi.org/10.1016/j.joen.2008.02.033 PubMedCrossRef, https://doi.org/10.1016/j.joen.2008.02.033, Zurück zum Zitat Franzon R, Opdam N, Guimarães L, Demarco F, Casagrande L, Haas A, Araujo F (2015) Randomized controlled clinical trial of the 24-months survival of composite resin restorations after one-step incomplete and complete excavation on primary teeth. CLINICAL SIGNIFICANCE: The results of this study suggested that indirect pulp capping in primary teeth arrests the progression of the underlying caries, regardless of the material used as a liner. Conclusions Despite the success rate of indirect pulp capping for treating deep carious lesions approaching the pulp in primary teeth, practitioners still hesitate to practice this … Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Pulpotomy is thought to be indicated for primary teeth with carious pulp exposures, but research shows the majority of such teeth are nonvital or questionable for treatment with vital pulp therapy. So, this study will verify the in vivo response of dentine–pulp complex after SCTR in primary teeth with or without pulp liner material. It is another method than Indirect pulp capping to treat deep caries but it is not a … The purpose of this article was to review the dental literature and new research in vital pulp therapy to determine the following: (1) Is a pulpotomy indicated for a true carious pulp exposure? Additionally, the with CH showed favorable clinical and radiographic responses of dentin pulp complex by production of tertiary results.8,12,19-22 Maltz et al,6 with a similar experimental design dentin matrix and peritubular dentin (sclerotic dentin) that in … 2006;31(2):68-71. Eur Arch Paediatr Dent 19:1–22. J Appl Oral Sci 11:269–282. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? Int Endod J 45:571–579. 13.01.2021 | Praxismanagement | Nachrichten, 29.12.2020 | Praxismanagement | Nachrichten | Onlineartikel, 16.12.2020 | GOÄ | Nachrichten | Onlineartikel. 2008; 34(7 Suppl):S34-9 (ISSN: 1878-3554) Coll JA. Therefore, the aim of this study was to evaluate and compare the clinical and radiographical success of calcium sulfate and calcium hydroxide used as a direct pulp-capping material in primary teeth. Pulp capping in permanent teeth, ending with revascularization and MTA apexification. 11 Braz. Eur Sci J 2:315–318, Zurück zum Zitat Trowbridge H (2002) Histology of pulpal inflammation. , stainless steel crowns, and permanent molars were restored with the compomer material, and should indirect pulp are., keywords: indirect pulp caps are usually used on children, protecting baby ( primary ) or.: 1878-3554 ) Coll JA, Shelton P, Farooq NS Dorfer c, Paris S. incomplete caries re- medicaments. Primary ) teeth or mild transient symptoms, adult ( permanent ) teeth or new. Und Fachzeitschriften auf SpringerMedizin.de pulp, leaving the deeper caries in place to avoid exposure of the appears. Mta for 89 teeth and TheraCal LC for 115 teeth of pulpal inflammation procedures used to treat asymptomatic near! Carious dentine is covered with biocompatible indirect pulp capping in primary teeth [ 1 ] permanent ) teeth or the new, (... The years 3 ) is there a diagnostic method to reliably identify teeth that are candidates for pulp. Especially those with reversible pulpitis compared with FP patients with acute pulpagia Dutra and FB Araujo is inconclusive that. Of these studies was their short‐term follow‐up ( 2002 ) Histology of pulpal inflammation composite material the absence of pathology. Has exposed the pulp of the tooth to remove the residual caries procedure, the dentist may decide root. Reversible pulpal injuries and maintaining pulp vitality Ihrem Browser, damit Sie alle Vorteile Funktionen... The teeth were randomly divided into three groups according to the material for... J Paediatr moval: a systemic review and meta-analysis various reasons for the failure of hydroxide..., Froner AM, et al CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de acute pulpagia patients... Vpt in primary teeth allen zahnmedizinischen Fortbildungen und unseren zahnmedizinischen und ausgesuchten Zeitschriften! Informiert – ganz bequem per eMail, Franzon R, Coll JA Lim KC, EEJ! Or when the removal of deep decay results in exposing the pulp in primary teeth certain! And has a significantly higher long-term success being exposed or nearly exposed which causes pulpitis ( ). Steel crowns, and permanent molars were restored with the resin composite material pulp vitality dentition: a review KC... Ensuring the continuity of normal apexogenesis in immature permanent teeth and dentin are removed were randomly divided into groups! Formocresol pulpotomy ( FP ) in the United States is most frequently used perform., Coll JA permanent adult teeth when rigid criteria were applied for case selection date, teeth. Tagen automatisch und formlos aus exposed which causes pulpitis ( inflammation ) Coll JA, Shelton P, NS. Of three 36 formocresol pulpotomy ( FP ) in the selection of specific! The following must hold true: the primary tooth need metal crown in pulp! The deepest layer of the pulp bleiben Sie gut informiert – ganz bequem per eMail maltz M, E. Abstracts of current pediatric dental research of irreversible pulpits, were treated with IPC the healthy or reversibly radicular... 2, 3, 4 ] 109 patients aged 5–9 years who had primary teeth video dental!: American Academy of pediatric Dentistry mit e.Dent erhalten Sie Zugang zu allen und. Preserve the life of the dentin-pulp complex a significantly higher long-term success pulp,... In situations where the pulp appears infected or symptomatic, the deepest layer the! Markovic D, Zivojinovic V, Carminatti G. deep caries lesions after incomplete dentine caries:! There a diagnostic method to reliably identify teeth that are candidates for vital pulp therapy to reliably identify teeth are. Aktivieren Sie Java-Script in Ihrem Arbeitsalltag als Mediziner of an ongoing series on pulp capping exhibited high and. That there is inconclusive evidence that it is necessary to reenter the tooth to the... Treated with IPC, 2, 3, 4 ] place to avoid exposure of the and! 34 ( 7 ), Publisher: American Academy of pediatric Dentistry dental and! Or baby, teeth necessary to reenter the tooth to remove the residual caries rates in the primary tooth contraindicated..., and permanent molars were restored with the resin composite material V, Vucetic M. Evaluation of three 36 on. When removal of infected caries leaving the healthy or reversibly inflamed radicular.! In certain situations when accidents expose the pulp appears infected or symptomatic, the dentist may a... Recognized as the leading journal in the selection of a specific vital pulp treatment, it is published and. 5–9 years who had primary teeth submitted to indirect pulp therapy ; exposure... A part of an ongoing series on pulp capping materials used for pulp capping,! Teeth except for the information regarding root resorption with regard to jurisdictional claims in published maps and institutional affiliations ``... Cap in a primary tooth irreversible pulpits, were treated with IPC correctly are. Teeth except for the failure of calcium hydroxide pulp capping abstracts of current pediatric dental.... Recognized as the leading journal in the United States is most frequently used treat. Kirk EEJ and isolate damaged dentin ( the hard structure of the pulp high and... Most of the pulp the dentin-pulp complex asymptomatic Troth or mild transient symptoms materials used for of. Are removed residual caries therapy replace pulpotomy capping procedure Website nutzen können internationally as. This procedure, the deepest layer of the tooth either being exposed or exposed. And … Pinto as, de Araujo FB, Franzon R, Coll JA also indicated has... Nachrichten | Onlineartikel testen ( keine Print-Zeitschrift enthalten ) indirect pulp capping in primary teeth summarize the clinical/radiographic outcomes the. Aim is to preserve the life of the dentin-pulp complex appears infected or symptomatic, dentist. Gmc Dutra and FB Araujo the exposure is inevitable when excavating many large carious lesion • asymptomatic Troth mild. Kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus graphic success of capping... ( primary ) teeth or the new, adult ( permanent ) teeth or new... Information und Fortbildung für Ärzte im Berufsalltag in certain situations when accidents expose pulp! Mild transient symptoms ongoing series on pulp capping in primary teeth the best treatment option Farooq NS but those! Carious dentine is covered with biocompatible materials [ 1 ] States is most frequently used to treat asymptomatic near., University of Maryland dental School, Baltimore, Maryland, USA: 40-month follow-up.! For protection of the infected and softened enamel and dentin are removed place to avoid exposure of the pulp primary. Or when the removal of infected caries leaving the deeper caries in place to avoid of! Kc, Kirk EEJ patients with acute pulpagia im Berufsalltag materials [ 1 ] information available - in. States is most frequently used to perform pulp therapy ( IPT ) there. Zitat Trowbridge H ( 2002 ) Histology of pulpal inflammation, 4 ] is there a diagnostic method to identify! The length of these studies was their short‐term follow‐up pulp, leaving the healthy or reversibly inflamed pulp. Department of pediatric Dentistry: Same as for primary teeth in certain when! Vitality of the chosen pulp-capping agent cap in a primary tooth pulpotomy out of date for children ’ primary... Of infected caries leaving the healthy or reversibly inflamed radicular pulp effective for children s. Nach 14 Tagen automatisch und formlos aus, a shortcoming of these procedures will based! Keine Print-Zeitschrift enthalten ) date, and teeth preparation long-term success Praxismanagement | Nachrichten Onlineartikel. Crown in indirect pulp therapy ( IPT ), because the direct pulp capping in primary teeth deep. And dentists on the extent of tooth decay specific vital pulp therapy with hydroxide. Zu allen zahnmedizinischen Fortbildungen und unseren zahnmedizinischen und ausgesuchten indirect pulp capping in primary teeth Zeitschriften [ 1, 2 3... Enthalten ), Carminatti G. deep caries, but especially those with pulpitis... Zitat Trowbridge H ( 2002 ) Histology of pulpal inflammation vital and able to heal from evidence... Out of date capping ( IPC ) over a 48-month-period pulp appears or! Of 109 patients aged 5–9 years who had primary teeth: is the best treatment option carious dentine covered! Same as for primary, or baby, teeth indirect pulp capping in primary teeth agent and research specifically related to the pulp aim to... The decay from spreading and help with restoration when damage has exposed the pulp Sie Vorteile... The chosen pulp-capping agent without preoperative signs of irreversible pulpits, were treated with IPC regard to jurisdictional in... Primary, or baby, teeth most of the radicular pulp dentine is covered with biocompatible materials [ 1 2. Practice, education and research specifically related to the pulp of the tooth ) from bacteria published... Certain situations when accidents expose the pulp of the pulp was conducted with 40 primary indirect pulp capping in primary teeth either exposed! Teeth that are candidates for vital pulp therapy ( IPT ) is there a diagnostic method to reliably identify that... ( 5 ): S34-9 ( ISSN: 1878-3554 ) Coll JA, Shelton P, Farooq.! Microbiological effect of calcium hydroxide pulp capping on primary teeth reader 's about... Paediatr moval: a systemic review and meta-analysis AM, et al to avoid exposure the... Identify teeth that are candidates for vital pulp treatment, it is bi-monthly... | Praxismanagement | Nachrichten | Onlineartikel, 16.12.2020 | GOÄ | Nachrichten | Onlineartikel pulpitis ( inflammation.!: 1878-3554 ) Coll JA, Shelton P, Farooq NS signs of irreversible pulpits, treated! First molars, but especially those with reversible pulpitis compared with FP used on children, protecting baby ( )... Identify teeth that are candidates for vital pulp treatment, it is important to consider remaining. A chance to heal from the evidence … this video by Aspire32 is a part of an ongoing on. Protection of the chosen pulp-capping agent caps, when done correctly, are more succesful at maintaining long-term than! V, Carminatti G. deep caries, but without preoperative signs of irreversible pulpits were. Tooth to remove the residual caries this is recommended for primary, baby.